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148 E Renee Drive Lot 20t s P ,, k <�f, DAVIE COUNTY HEALTH DEPARTMENT (Septic Tank) Improvements Permit and Certificate of Completion (Ground AbsorptionSew71a Disposal System - G.S. Chapter 130 -Article 13C) OWNER OR CONTRACTOR 6 Y je es DATE 3-26-14— PERMIT LOCATION / Aeke ?© / NO :/ �dR �f/(!1�/c✓�n., t'9! . `-O �59 SUBDIVISION NAME 1A43 � W le S. R. NO. LOT NO. r D SECTION OR BLOCK NO. HOUSE ❑ MOBILE HOME ❑ BUSINESS ❑ NO. BEDROOMS j NO. BATHROOMS �2.1- GARBAGE DISPOSAL UNIT, YES ElNO L`7 AUTO. DISHWASHER YES (� NO ❑ AUTO. WASH. MACHINE YES VNO ❑ SITE SUITABLE YES ❑ NO ❑ SIZE OF TANK gal. NITRIFICATION FIELD sq. ft. DEPTH OF STONE IN LINES: WATER SUPPLY: Individual Pub is ❑ IMPROVEMENTS PERMIT BY / CERTIFICATE OF COMPLETION By_ (8/16/73) *Construction must LOT AREA House Trailer 800 Gal. 400 Sq. Ft. Two Bedroom House600 • Sq. Three Bedroom House 00 Gal 900 Sq. F Four Bedroom House 1000 Gal. 1200 Sq. Ft. INSTALLED BY tgdJ' MS J50 � 4 0 P a & Date"/6—� 4� with all other applicable State and local regulations B � d d 6 � t I A / e .J,,,? Co or dr C3 S